Background & Aims
Pain assessment, being the initial and pivotal step in standardized pain treatment, entails the implementation of analgesic measures and interventions. However, the establishment of pain as a crucial evaluation parameter in China has been relatively delayed, resulting in a lack of uniformity and standardization in clinical pain assessment technology, as well as an imperfect pain assessment management system. Consequently, these factors have become significant obstacles to the effective implementation of pain management and treatment. While foreign countries possess relatively comprehensive systems and technologies for pain assessment, their applicability is limited due to regional, racial, cultural, and social differences. Therefore, it is imperative to develop a clinical pain assessment management system and evaluate its clinical application effectiveness, providing valuable guidance for standardized clinical pain assessment management practices.
Methods
The pain assessment and management system encompasses various aspects, including clinical pain assessment methods, management tools, quality evaluation, and a closed-loop information management platform for pain scoring. A comparative analysis was conducted on nurses’ performance in pain assessment, patient pain control outcomes, and patient satisfaction before and after utilizing the system.
Results
Post-application, significant improvements were observed in the completeness and accuracy of pain assessment (P<0.05). Moreover, there was a notable decrease in the administration of intravenous analgesics (P<0.05), an increase in the rate of timely treatment for explosive or severe pain (P<0.05), and enhanced patient satisfaction with pain control effectiveness (P<0.05).
Conclusions
This system effectively provides an objective reflection of the condition and treatment outcomes of related painful diseases, thereby establishing a solid foundation for enhancing the overall level of pain assessment and management, as well as clinical diagnosis and treatment efficacy. Therefore, it merits further promotion and implementation.
References
[1]FERRELL B R, GRANT M, RITCHEY K J, et al. The pain resource nurse training program: a unique approach to pain management [J]. J Pain Symptom Manage, 1993,8(8):549-556.
[2]Anesthesiology Society of Chinese Medical Society. Expert consensus on pain management after adult surgery [J]. Journal of Clinical Anesthesiology, 2017,33 (9): 911-917.
[3] General Office of National Health Commission, Comprehensive Department of State Administration of Traditional Chinese Medicine. Notice on the issuance of the Pilot Work Programme for Integrated Pain Management [EB / OL]. (2022-12-22) [2023-07-15].
[4]Registered Nurses’ Association of Ontario. Assessment and management of pain (Third Edition) [M]. Toronto: Registered Nurses’ Association of Ontario, 2013.
[5] SCHOFIELD P. The assessment of pain in older people: UK national guidelines [J]. Age Ageing, 2018,47(Suppl 1):1-22.
[6] National Institute for Health and Care Excellence. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain [M]. London: National Institute for Health and Care Excellence (NICE), 2021.
[7]Wang Xiaoqing, Chen Yuwen, Zhang Yuanyuan, et al. Orthopaedic rapid rehabilitation surgery establishes a nurse-led multidisciplinary team in pain management practice [J]. Nursing Management in China, 2019,19 (2): 199-203.
[8] Wei Jianmei, Cao Ying, Wang Zhijian. Manual of Pain Department Care [M]. Beijing: Tsinghua University Press, 2019.
[9] Shan Wenqian, Hu Kaiwen, Gu Ke, et al. Interpretation of the US National Comprehensive Cancer Network Clinical Practice Guidelines for Adult Cancer Pain [J]. 2022 (1): 30-32.
[10] Wanli, Zhao Qing, Chen Jun, etc. Chinese expert consensus on the application of the Pain Assessment Scale (2020 edition) [J]. Chinese Journal of Pain, 2020,16 (3): 177-187.
[11] Shen Qiao, Zheng Xianlan, Shi Yuan, et al. Evidence-based guidelines for pain management in neonates in China (2023) [J]. Chinese Journal of Contemporary Pediatrics, 2023,25 (2): 109-127.
[12] Yu Wenhua, Zhang Hong, Lu Yuhan, et al. Construction and application of the whole-process cancer pain management information system [J]. China Nursing Management, 2021,21 (9): 1400-1404.
[13] Song Jinping, Liu Li. The supply-side reform of West China Hospital leads a new mode of pain management: I know your pain, your no pain [J]. China Nursing Management, 2018,18 (Supplement): 80-81.
[14] Zheng Sixian, Wang Weiyu, Wang Li. Design and application of the regional critical value closed-loop management platform [J]. Chinese Journal of Health Information Management, 2020,17 (6): 753-757,779.
[15] Wei Jianmei, Wang Zhijian, Wang Jianning, et al. Hierarchical cyclic training in the management of pain assessment [J]. Chinese Journal of Pain Medicine, 2020,26 (5): 368-371,380.
[16] Wei Jianmei, Liu Weichen, Wang Zhijian, et al. Clinical application of pain assessment management indicators to improve the completeness rate of pain assessment [J]. Chinese Journal of Pain Medicine, 2021,27 (4): 282-286.
[17] Li Xiaoyan. Development and application of the evidence-based nursing practice questionnaire for nurse pain assessment [D]. Hangzhou: Hangzhou Normal University, 2017.
[18] Li Xiaoyan, Tong Yingge, Chen Jiajia, et al. Interpretation of evidence-based nursing practice guidelines for pain assessment abroad [J]. Journal of Nursing, 2017,32 (16): 14-17.
[19] National Health Council. National Nursing Development Plan (2021-2025) [J]. Nursing Management in China, 2022,22 (6): 801-804.
[20]PARL F F, O’LEARUY M F, KAISER A B, et al. Implementation of a closed-loop reporting system for critical values and clinical communication in compliance with goals of the joint commission [J]. Clin Chem, 2010,56(3):417-423.
[21] LI R, WANG T, GONG L, et al. Enhance the effectiveness of clinical laboratory critical values initiative notification by implementing a closed-loop system: a five year retrospective observational study [J]. J Clin Lab Anal, 2020,34(2):e23038.
Presenting Author
Jianmei Wei
Poster Authors
JianMei Wei
bachelor's degree
The First Affiliated Hospital of Nanchang University
Lead Author
Daying Zhang
The First Affiliated Hospital of Nanchang University
Lead Author
TAO LIU
The First Affiliated Hospital of Nanchang University
Lead Author
Weichen Liu
master's degree
The First Affiliated Hospital of Nanchang University
Lead Author
Topics
- Assessment and Diagnosis